Provider Demographics
NPI:1245279371
Name:WEBER, JOAN LEIGH (MED,NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:LEIGH
Last Name:WEBER
Suffix:
Gender:F
Credentials:MED,NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MOUNT LEBANON BLVD
Mailing Address - Street 2:SUITE 2223
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1512
Mailing Address - Country:US
Mailing Address - Phone:412-531-3934
Mailing Address - Fax:
Practice Address - Street 1:300 MOUNT LEBANON BLVD
Practice Address - Street 2:SUITE 2223
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1512
Practice Address - Country:US
Practice Address - Phone:412-531-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALPC001167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001427007OtherHIGHMARK
PAMHS221505OtherVALUE OPTIONS